Health-and-Nutrition/C2/Side-lying-hold-for-breastfeeding/English

Visual Cue	Narration
Slide Number 1 Title Slide	Welcome to the Spoken Tutorial on Side-Lying hold for breastfeeding.
Image: 5 common breastfeeding holds-cross cradle, football, cradle, laid back and side lying. Image: Mother washing her hands. Image: Side-lying hold.	In this tutorial we will learn, Choosing the correct breastfeeding hold for a mother and her baby Mother’s preparation before breastfeeding and How to do the side-lying hold.
Image: Side-lying hold	Let us begin.
Image: 5 common breastfeeding holds-cross cradle, football, cradle, laid back and side lying.	Across the world, mothers breastfeed their babies using various types of holds.
Image: Side-lying hold. Image: Wrong side-lying hold. Image: Crying baby.	As discussed in an earlier tutorial, The best breastfeeding hold for a mother and her baby is the one in which- both mother and baby are comfortable for the entire duration of breastfeeding
Image: Deep attachment in side-lying hold. Image: Bad attachment in side-lying hold.	The baby is able to attach deeply to the mother’s breast
Image: Strong baby with right tick. Image: Weak baby with a wrong tick.	And gets sufficient milk.
Image: Side-lying hold	Let us learn about a new hold called Side-lying hold.
Image: Mother is breastfeeding in side-lying hold at night time.	This hold is recommended when - The mother is breastfeeding at night
Image: C-section delivery.	Or when the mother has had a caesarean section delivery
Image: Tired mother	Or when the mother is tired.
Image: Mother washing her hands.	Before feeding her baby, the mother must wash her hands with soap and water.
Image: Mother showing dry and clean hands.	And dry her hands properly.
Image: Mother drinking a glass of water. Image: Boiling water. Image: Cool water.	Then she should drink a glass of boiled and cooled water.
Image: Breastmilk filling a 1 litre jug till 750 ml.	Lactating mothers produce 750 to 850 ml of milk per day on an average. Therefore, they need to increase their daily water intake.
Image: Mother completely removing cloth covering the breast.	Next, mother should uncover the breast from which she wants to feed the baby.
Image: Mother has not removed bra completely.	She should ensure not to put pressure of her bra or blouse on the breast.
Image: Mother is lying on her side without the baby	Next, the mother should lie down comfortably on the side of the breast that she will feed from.
Image: Pillow under the mother’s head.	She should keep a pillow under her head.
Image: Pillow between mother’s legs.	And a pillow between her legs to avoid rolling over in her sleep.
Image: Mother lying on her right side.	The mother in this picture, will be feeding her baby from her right breast. Therefore, she is lying on her right side.
Image: Mother lying on her right side with the baby.	Next, let us learn how to position baby’s body correctly.
Image: Mother lying on her right side with the baby.	Place the baby on her side such that her stomach is gently pressed by the mother’s body.
Image: Mother supporting her baby’s back with her right hand.	The mother should support her baby's back with the hand on the side that she is lying on.
Image: Mother supporting her baby’s back with her right hand.	The mother in this picture is supporting her baby’s back with her right hand.
Image: Mother has placed a pillow behind baby’s back to keep her close	The mother can place a pillow behind her baby’s back to hold her close to her body.
Image: Baby near breast.	Lesser distance between their bodies will reduce the baby’s effort to reach the breast
Image: Deep attachment in side-lying hold.	And it will become easier for the baby to attach deeply to the breast.
Image: Mother bending her back to bring breast closer to baby’s mouth. Increased distance between the baby’s and mother’s tummy.	Remember- The mother should never bring the breast to the baby by bending her back This will increase the distance between the baby’s stomach and mother’s body.
Image: Side- lying hold	She should always keep her back straight and bring the baby to her breast.
Image: Side-lying hold.	The second important point is the direction in which the baby’s entire body is held.
Image: Adult eating food with head-neck-body in straight line.	You may have noticed that - When we eat food, our head, neck and body are always in the same direction.
Image: baby’s body is facing upwards and head is turned sideways while breastfeeding in side-lying hold. Image: Side lying hold.	Similarly, baby’s head, neck and body should always be in the same direction while breastfeeding
GIF: Baby swallowing milk.	This will make swallowing milk easier for the baby.
Image: Side-lying hold.	Now, we come to the third point in positioning the baby’s body.
Image: Mother is supporting baby’s full body.	Mother should support the baby’s back with her hand.
Image: Mother not supporting the entire body, baby is being pulled away.	Otherwise, the baby will have to take a lot of effort to attach deeply to the breast.
Image: Baby’s nose is in line with the nipple. Image: Baby is deeply attached in side lying hold. Image: Strong baby. Image: Baby’s nose is not in line with the nipple. Image: Bad attachment in side lying. Image: Weak baby	Next, let’s look at the position of the baby’s nose and chin. Baby’s nose should be in line with the nipple. And her chin should be forward and very close to the breast. This will ensure that the baby takes in more of the lower part of the areola while latching. And therefore, will use the lower jaw to drink more milk efficiently.
Image: Areola.	Please note- Areola is the dark area around the nipple.
Image: Side lying hold.	Now that the baby is held correctly,
Image: Mother holding her breast with her left hand in a C shape hold from the side. Image: C shape hold.	let us learn how to hold the breast. Using the fingers of the hand that is free, the mother should cup her breast from the side in a C shape hold. The mother in this picture will use her left hand to hold her right breast.
Image: Baby’s lips and C shape hold are both horizontal.	The fingers, holding the breast, should always be in the direction of the baby’s lips.
Image: Adult holding vada pav or burger horizontally. Image: Adult’s lips and fingers holding vada pav or burger are both horizontal. Image: Adult taking a big bite of vada pav or burger while holding it horizontally.	Why? Let’s understand this using a simple example. When we eat a vada pav or burger, our lips open horizontally. We hold the vada pav or burger horizontally to take a big bite. Here, the thumb and fingers are placed in the direction of the lips.
Image: Adult holding vada pav or burger vertically. Image: Adult’s lips are perpendicular to adult’s fingers holding vada pav or burger vertically. Image: Adult trying to eat vada pav or burger while holding it vertically.	If we hold the vada pav or burger vertically, we won’t be able to take a big bite.
Image: Baby’s lips and mother’s fingers in C shape are both horizontal. Image: Deep attachment in side lying hold	Similarly, observe the direction of baby’s lips. The lips are horizontal here. Therefore, mother’s fingers and thumb should also be placed horizontally on the breast. This will help the baby to take a big part of the lower areola in her mouth.
Image: Mother’s fingers holding the breast in C shape at a distance of 3 fingers from the nipple. Image: Deep attachment in side lying hold	In addition to being in the direction of the baby’s lips, mother’s thumb and fingers should always be at a distance of 3 fingers from the nipple.
Image: Adult trying to eat vada pav or burger while holding it too close to the edge.	Again, while eating a vada pav or burger, If we hold it too close, our fingers will block our mouth from taking a big bite.
Image: Adult trying to eat vada pav or burger while holding it far away from the edge.	If we hold it too far away, it will not be shaped correctly to fit in our mouth.
Image: Holding vada pav or burger at the right distance.	Therefore, we hold it at the right distance to take a big bite.
Image: Mother’s fingers holding the breast in C shape hold at a distance of 3 fingers from the nipple.	Similarly for the baby, the right distance is of 3 fingers from the nipple, as shown in this picture. This distance will ensure that-
Image: Mother’s fingers holding breast in C shape at a distance of 1 finger from the nipple. Image: Poor attachment in side lying hold.	Mother’s fingers do not block the baby from taking the lower areola in her mouth
Image: Mother is pressing only the nipple in C shape and drops of milk coming out.	Mother does not compress only the nipple which will give very little milk
Image: Mother compressing the breast at a distance of 3 fingers and more milk coming out.	Mother compresses the larger milk ducts beneath the areola to express more milk out
Image: Mother’s holding breast 5 fingers away from the nipple. Image: Bad attachment in side lying hold. Image: Mother’s fingers holding the breast in a C shape hold at a distance of 3 fingers from the nipple. Image: Good attachment in side lying hold.	And the breast is shaped correctly to help the baby attach deeply.
Image: Uncompressed vada pav or burger. Image: Compressed vada pav or burger.	Let’s go back to the example of vada pav or burger. After holding the vada pav or burger correctly, we always press it to take a big bite.
Image: Compression of breast in C shape hold from the side. Image: Deep attachment in side lying hold.	Similarly, the mother should lightly press her breast in a C shape hold from the side. This will help the baby to take a big part of the breast in her mouth.
Image: Compression of breast in a scissor shape hold from the side.	But remember, Mother should not press her breast in a scissor shape hold. Scissor shape compression will pinch the breast and cause nipple feeding.
Image: Equal compression of breast. Image: Unequal compression of breast upwards. Image: Unequal compression of breast downwards.	Also make sure that there is equal compression of the breast with the thumb and the fingers. Otherwise, the nipple will shift either in the upward or downward direction. And the baby will not be able to attach deeply to the breast.
Image: Side-lying hold.	Now, the baby is in the side lying hold and ready to attach to the breast for breastfeeding.
Image: Deeply attached baby in Side-Lying hold. Image: Bad attachment in Side-Lying hold.	Correct attachment of the baby to the breast is explained in another video in the same series.
Image: Mother’s both hands are supporting the baby’s back	As soon as the baby is attached deeply to the breast- Mother should release the breast from her hand. She should use this hand to hold the baby’s back and keep the baby close to her body.
Image: Mother’s hand is at 90 degrees to her body Image: Mother’s left hand’s elbow is bent and tucked under the pillow.	Also, she should move her other arm from the baby’s back and keep it at 90 degrees to her body. She should bend the elbow of that arm. Then she should tuck that hand under the pillow.
Image: Mother’s both hands are supporting the baby’s back	The mother in this picture has released her right breast from her left hand. She is using her left hand to hold the baby’s back and keep the baby close to her body.
Image: Mother’s hand is at 90 degrees to her body Image: Mother’s left hand is holding the baby’s back.	She has removed her right hand from the baby’s back. She has kept it at 90 degrees to her body. Her right elbow is bent Her right hand is tucked under the pillow.
Image: Mother has turned to her left side and is ready to feed the baby from her left breast.	After feeding from the first breast- If the mother wants to feed from her other breast then she will have to lie down on the other side.
Image: Mother feeding in side lying hold from her left breast.	The mother in this picture has turned to her left side to feed from her left breast.
Image: Mother in side lying hold with her right hand tucked under the pillow and left hand supporting the baby’s back.	This brings us to the end of this tutorial.
Slide Number 2 Acknowledgement	Thank you for joining.

Contributors and Content Editors

Bellatony911, Tasneemiitb